EXCESSIVE DAYTIME SLEEPINESS IS A PREDICTOR OF PSYCHOEMOTIONAL DISORDERS AND the QUALITY OF LIFE OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Аннотация

In order to assess the association of excessive daytime sleepiness with psychoemotional status and quality of life in 200 COPD patients, screening testing was conducted using the Epworth Sleepiness Scale (ESS) questionnaire and the Zung self-assessment approach of depressive symptoms and the SF-8 questionnaire for assessing health-related quality. The results of the study noted that in COPD patients with the excessive daytime sleepiness, 100% had depressive disorders, 33.5% from them had mild, 41.6% had moderate, and 18.6% had severe depressive disorders. The manifestations of severe depressive disorders (41.8%) is common to COPD patients with a pronounced degree of excessive daytime sleepiness. In COPD patients with the comorbid condition of excessive daytime sleepiness, the quality of life in both physical and mental components was determined by levels below the average of 45.3±1.4 and 43.6±1.6 points. A decrease in these components of quality of life to a minimum level was noted (31.6 and 33.5 points) with a heavier intensity of excessive daytime sleepiness. Excessive daytime sleepiness is a predictor of disorders of psychosomatic status and quality of life in both physical and mental components of health in COPD patients and determines changes in patient management.